Peninsula and Districts  Football and Sporting Club Incorporated  |     

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Player Trials


Players Name:*
Club Played For in 2017:
Preferred Playing Position:
Short Description Of Playing History
Please describe any health problems/injuries for the player

Emergency Contact

Relationship To Player
Telephone Number
E-mail Address:

I have read and understand this waiver of my legal rights and that of the participant, and I agree to the terms and conditions *Promotional Photography Permission *

Tick To acknowledge:*

I give permission for Peninsula Power Football Club and Kick International Institute to photograph my child for the purpose of promotional material including website

Terms & Conditions

I Acknowledge and agree that the activity organised or conducted by the company is in the nature of a sport and as such has some dangers and risks, which may include the risk of injury to the participant.

The Parent(s)/Guardian further acknowledges and agrees that due to the nature of the activity, it would be unreasonable for the company to be in any way responsible for any injury to the participant and the Parent/Guardian hereby, to the full extent permitted by law, waives all of his or her and the participants legal rights of action against and fully releases the company for loss, damages, injury or death howsoever arising out of or in relation to the participation by the participant in the activities conducted or organised by the company including without limitation, liability for any negligent or torturous act or omission, breach of duty, breach of contract or breach of statutory duty on the part of the company, its office bearers, directors, employees, agents or sponsors.

The Parent/Guardian further acknowledges and agrees that he or she has enrolled the participant freely, voluntarily and absolutely at his or her own discretion and risk and with a full appreciation of the nature and extent of all risks involved in the activity. This waiver shall bind the participant and his or her Parents/Guardians.

Tick For Yes*

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